AI prediction of response to pre-surgery chemoimmunotherapy for esophageal cancer
Official title: Multimodal Deep Learning for Predicting Treatment Response to Neoadjuvant Chemoimmunotherapy in Esophageal Cancer
Run by Central South University · NCT07063901 · Data updated 2026-11-12
This project tests whether combining clinical records, CT scans, pathology, and lab results with deep learning can predict which patients with locally advanced esophageal cancer will respond to neoadjuvant chemoimmunotherapy before surgery.
Quick facts
| Study type | Observational |
|---|---|
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | Central South University Academic / other |
| Locations | 1 site (Changsha, Hunan) |
| Status | Recruiting |
| Started | June 1, 2025 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | July 7, 2026 |
| Trial ID | NCT07063901 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients with histologically confirmed esophageal cancer who received neoadjuvant chemoimmunotherapy and have complete, high-quality pre- and post-treatment imaging and clinical records.
✕Probably not a fit
Patients with missing or poor-quality CT images, incomplete clinical data, concurrent other malignancies, or who refused recommended surgery are unlikely to benefit from the predictive models or be eligible for inclusion.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational cohort at The Second Xiangya Hospital of Central South University uses multimodal clinical data — including demographics, medical history, imaging, pathology, and laboratory tests — to train deep learning models to predict pathological complete response (pCR) after neoadjuvant chemoimmunotherapy in esophageal cancer. The models will also aim to identify early patients with suboptimal responses (stable disease or progressive disease) prior to surgery. The study uses retrospective clinical and imaging records from patients who received neoadjuvant chemoimmunotherapy and have complete pre- and post-treatment imaging. Models will be developed and internally validated on the institutional dataset to generate predictive tools for potential clinical decision support.
Why it matters
Potential benefit: If successful, these models could help clinicians identify patients likely to achieve pCR or those unlikely to benefit from neoadjuvant chemoimmunotherapy, enabling more personalized treatment planning and earlier changes in care.
How similar studies have gone: Multimodal AI approaches have shown promising predictive results in other tumor types, but applying deep learning to predict pCR after neoadjuvant chemoimmunotherapy in esophageal cancer remains relatively novel and less validated.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients with histologically confirmed esophageal cancer based on biopsy results; 2. Patients recommended for neoadjuvant chemoimmunotherapy following multidisciplinary team (MDT) discussion or evaluation by thoracic surgery specialists; 3. Patients who received neoadjuvant chemoimmunotherapy; 4. Patients with complete imaging data before and after neoadjuvant treatment. Exclusion Criteria: 1. Patients deemed eligible for surgery by the thoracic surgery team but who refused surgical treatment; 2. Patients with missing or poor-quality CT images; 3. Patients with concurrent malignancies other than esophageal cancer; 4. Patients with incomplete clinical data.
Where it's running
-
The Second Xiangya Hospital of Central South University
Changsha, Hunan, China Recruiting
Study contacts
- Study coordinator: Chen Chen
- Email: chenchen1981412@csu.edu.cn
- Phone: +8673185295188
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.